MEDICARE: MR. FLOYD W HUTCHISON PMH-NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	F401593-1	NY

General Provider Information

NPI Number	:	1144665209
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. FLOYD W HUTCHISON PMH-NP

Provider Business Mailing Address
First Line	:	132 ALLENS CREEK RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3310
Country	:	US
Telephone Number	:	585-241-9330
Fax Number	:

Provider Business Practice Location Address
First Line	:	132 ALLENS CREEK RD
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14618-3310
Country	:	US
Telephone Number	:	585-241-9330
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/02/2013
Last Update Date	:	09/30/2014

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